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Trattamenti di Tendinosis

Gli approcci del trattamento al tendinosis comprendono la cattura del farmaco di sollievo di dolore e fare lo stile di vita cambia come regolazione della posizione quando si siede o rinforzando le giunzioni con l'esercizio.

Ci sono vari approcci a gestire questa circostanza e differiscono secondo la severità dei sintomi e che il tendine è commovente.

La gente di alcune misure può catturare se fanno includere il tendinosis:

  • Fermandosi qualsiasi attività ha causato il termine come digitare o gioco dello sport. Ciò dovrebbe impedire l'ulteriori danno ed infiammazione.
  • Riposo del tendine commovente per diminuire infiammazione.
  • Applicando certo modulo di supporto quali una stecca, una parentesi graffa o una fasciatura per contribuire a diminuire movimento.
  • Visualizzando un fisioterapista, che usa le tecniche per alleviare il dolore ed aiutare la funzione del riacquisto della gente dell'area commovente. Alcune di queste tecniche comprendono gli esercizi, il massaggio, i laser e l'ultrasuono.
  • Applicando i pack per causare riduzione dell'imbarcazione e per impedire neovascularisation o formazione anormale del vaso sanguigno ai tendini commoventi.
  • La cattura dei supplementi dietetici quali gli amminoacidi è stata riferita per migliorare i sintomi, sebbene nessuna prova ancora esistesse per supportare questa.
  • Cattura dei farmaci antinfiammatori quali ibuprofene, diclofenac o aceclofenac.

Solitamente, il tendinosis migliora col passare del tempo e l'ambulatorio non è richiesto, ma alcuni in casi severi l'ambulatorio è considerato come opzione.

  • I corticosteroidi possono essere iniettati negli spazi uniti per diminuire l'infiammazione. Queste iniezioni possono alleviare il dolore ma possono causare gli effetti secondari come assottigliamento dell'interfaccia.

In generale, il trattamento del tendinosis tende:

  • Diminuisca il dolore
  • Aumenti l'intervallo di moto e di resistenza
  • Permetta al rendimento alle attività quotidiane di normale senza dolore
  • Impedisca ulteriore danno
  • Impedisca la ricorrenza

Sorgenti

  1. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3312643/
  2. http://www.nhs.uk/conditions/Tendonitis/Pages/Introduction.aspx
  3. http://www.sportsperformancecentres.com/articles/interest/Tendinosis_and_Tendinitis.pdf
  4. http://www.stadionklinikken.dk/PDF/883%20(SJMSS-inflam).pdf

Further Reading

Last Updated: Feb 27, 2019

Dr. Ananya Mandal

Written by

Dr. Ananya Mandal

Dr. Ananya Mandal is a doctor by profession, lecturer by vocation and a medical writer by passion. She specialized in Clinical Pharmacology after her bachelor's (MBBS). For her, health communication is not just writing complicated reviews for professionals but making medical knowledge understandable and available to the general public as well.

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Comments

  1. Kathryn Hendrikson Kathryn Hendrikson United States says:

    In your article, you are mixing tendinitis with tendinosis. Tendinitis is when you have an area that is inflamed due to an acute injury, such as getting into a car accident or twisting your ankle. Your ankle will get bigger because the muscles are protecting the tendon that has just been torn. Tendinosis is a degeneration of a tendon's collagen in response to chronic overuse. You are saying above to treat tendinosis the same way that you would treat tendinitis, which is something totally different. There is no inflammation where there is tendinosis. The tendons are degenerating, getting weaker and smaller. It takes up to 2 weeks to heal from a sprained ankle, tendinitis, where it can take 6-12 weeks to heal properly from a tendinosis injury. Ice and ibuprofen are not the answer to healing from tendinosis because there is nothing that needs to be un-inflamed. I got my information from the same sites you did and I also talked to some physical therapists and doctors and I'm a music student as an undergrad. I have been told time after time that I had tendinitis when I really had tendinosis. Why would you need to take an anti-inflammatory if nothing is inflamed? Yes, it may kill the pain for the time being, but it's not going to un-inflame what is not inflamed to begin with.

    • Melinda Jones Melinda Jones United States says:

      Kathryn, a sprain is a ligament tear not a tendon tear, and sprains can take significantly longer than 2 weeks to fully heal. The swelling of a sprain is not the "muscles getting bigger to protect the tendon" but increased bloodflow and lymph  at the injured area to promote healing. But you are right about tendinosis vs tendinitis. Ecxcept that ice has been shown to improve tendinosis because it resticts the associated formation of abnormal blood vessels.

  2. Steve Gom Yi Steve Gom Yi United States says:

    I am a personal trainer and an avid weight lifter. I am suffering from tendinosis, and like many others, i was told that it was tendinitis at first. I sought a second opinion from a sports medicine doctor that was well-informed in this matter (since he deals with athletes and sports medicine is what he specializes in). The doctor who gave me my initial diagnosis told me that i should ice and rest my elbow in order to treat it. It seemed like the pain would go away but as soon as i tried to slowly make my way back to training, it would feel worst than before. my sports med doctor told me NOT to ice and that one of the most effective ways of treating tendinosis is through training. Being a personal trainer, i drew out a program that fit what my doctor had told me. 3 weeks in, my elbow was feeling much much better and I was able to ease my way back to what my training regiments were before. Tendinosis is very common among people who weight lift, and it is misconceived that rest is the best way to treat this when all it does is irritate it. Proper training and nutrition is the way to go. NSAID's irritate tendinosis as well. I'm not saying I'm a medical specialist, but being a trainer who absolutely cares about the well-being of my body, I would not do anything that would harm my body. again, icing and resting actually irritates tendinosis and the best method of treatment is PROPER training and exercise.

  3. Steve Gom Yi Steve Gom Yi United States says:

    Also, in most cases, surgery doesn't benefit tendinosis patients.

    • Mike Miller Mike Miller United States says:

      Steve

      What kind of training exercises did you do? I am struggling with tendinosis of my elbow as well.  Please help.

The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.